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General NPI Number Information
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NPI Number | 1477987188
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Entity Type | Individual
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Provider Name | ALMETA M ANDARY FNP
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Gender | Female
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Dates
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Enumeration Date | 08/29/2013
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Last Update Date | 08/28/2023
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Provider Practice Location Address
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Address Line | 11180 GRATIOT AVE SUITE C
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City | DETROIT
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State | MI
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Zip | 48213-1363
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Country | US
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Telephone | 313-372-7111
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Fax | 313-372-5509
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Provider Business Mailing Address
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Address Line | 22341 WEST EIGHT MILE RD SUITE #4
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City | DETROIT
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State | MI
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Zip | 48219
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Country | US
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Telephone | 313-421-6643
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Fax | 313-372-5509
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704261320
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License Number State | MI
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